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Individual

MR. EVERARDO AVILES RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW, LCAS

Contact information

Practice address
371 NC HIGHWAY 65 STE 204, REIDSVILLE, NC 27320-8881
(336) 342-8300
Mailing address
1981 WORSHAM MILL RD, RUFFIN, NC 27326-9421
(336) 705-4774

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24740
NC
1041C0700X
Clinical Social Worker
C013286
NC

Other

Enumeration date
06/18/2018
Last updated
09/19/2025
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